Total quality management (TQM) is a management approach focused on customer satisfaction through continual improvement. It involves all employees and emphasizes strategic planning, fact-based decision making, and effective communication. TQM aims to hold all parties accountable for quality and can improve profitability, customer satisfaction, productivity, and employee morale. Quality by design (QbD) is a concept where quality is planned and designed into products and processes from the development stage to reduce issues and meet customer needs.